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Contact Information

RUTGERS, THAT STATE UNIVERSITY OF NEW JERSEY
225 WARREN STREET
RBL 2140
NEWARK, NJ07103
 Phone: 973-972-3170
 Fax: 973-972-0795
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Molecular Genetic Pathology

207SM0001X
Indicates primary specialty

NPI Profile & details for RUTGERS, THAT STATE UNIVERSITY OF NEW JERSEY

NPI Number 1699365445
LBN Legal business name RUTGERS, THAT STATE UNIVERSITY OF NEW JERSEY
Authorized official DEANNA STRECK - (LABORATORY SUPERVISOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/25/2021
Last updated 02/03/2021 - About 5 years ago
Identifiers
NJ Other 31D2184476 CLIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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